DR. KENNETH SPENCER CARLOUGH (NPI# 1548328370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548328370 |
| Entity Type | Individual |
| Full Name | DR. KENNETH SPENCER CARLOUGH |
| Credential | DMD |
| Practice Address |
248 E Main St Clinton CT 06413-2230 |
| Mailing Address |
248 East Main St Clinton CT 06413 |
| Practice Telephone | 8606691616 |
| Practice Fax Number | 8606694525 |
| Mailing Telephone | 8606691616 |
| Mailing Fax Number | 8606694525 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
005609 | CT | Dental Providers |
| Street Address |
248 E MAIN ST |
| City | CLINTON |
| State | CT |
| Zip Code | 06413-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235510199 | Robert Geiman | Dentist | 248 E Main St, Clinton, CT 06413-2230 | 2015-06-16 |
| 1518020239 | Laura Jean Gagnon | Dentist | 248 E Main St, Clinton, CT 06413-2230 | 2006-12-18 |
| 1184786907 | Jeffrey Evan Burzin | Dentist | 248 E Main St, Clinton, CT 06413-2230 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| 1659814366 | A Behavioral Apporach | Behavioral Analyst | 4 Laconia Dr, Clinton, CT 06413 | 2016-11-29 |
| 1255786638 | The Vogl Program | Early Intervention Provider Agency | 15 Hammock Pkwy, Clinton, CT 06413 | 2016-05-04 |
| 1508048356 | Dr. Andrew M. Berliner | Podiatrist | 246 East Main Street, Suite 2, Clinton, CT 06413 | 2007-12-04 |
| 1306067624 | Julia S Tucker | Marriage & Family Therapist | 162 B East Main Street, Clinton, CT 06413 | 2007-05-02 |
| 1710012497 | Kevin M O'connell | Dentist | 149-4 East Main Street, Clinton, CT 06413 | 2007-02-22 |
| 1215099411 | Edward I Winokur Md | Family Medicine | 27 Commerce Street, Clinton, CT 06413 | 2006-12-14 |
| 1366518904 | Catherine L Alder | Social Worker | 12 Bargate Road, Clinton, CT 06413 | 2006-11-27 |
| 1033282306 | Child & Adult Orthodontics PC | Dentist | 248 East Main St, Clinton, CT 06413 | 2006-11-16 |
| 1780783738 | Kenneth Steven Wein | Nurse Anesthetist, Certified Registered | 8 Osprey Com, Clinton, CT 06413 | 2006-09-22 |
| Find all providers in zip 06413 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558645580 | Tram Ngoc Nguyen | Dentist | 6306 Kirby Rd, Clinton, MD 20735-1336 | 2011-10-10 |
| 1285835991 | Dr. Darrell Adrian Clark D.d.s. | Dentist | 8839 Branch Ave, Clinton, MD 20735-2632 | 2007-05-30 |
| 1356491666 | John C. Pryse,jr. | Dentist | 180 Edgewood Ave, Clinton, TN 37716-2817 | 2007-01-11 |
| 1033282306 | Child & Adult Orthodontics PC | Dentist | 248 East Main St, Clinton, CT 06413 | 2006-11-16 |
| 1982781340 | Eastern Iowa Orthodontics | Dentist | 314 3rd Ave S, Clinton, IA 52732-4436 | 2006-11-01 |
| 1174619712 | Sandy E Rushing | Dentist | 749 Clinton Parkway, Clinton, MS 39056 | 2006-10-04 |
| 1659462885 | S Everett Rushing, Dmd,pa | Dentist | 749 Clinton Pkwy, Clinton, MS 39056-5245 | 2006-09-26 |
| 1235510199 | Robert Geiman | Dentist | 248 E Main St, Clinton, CT 06413-2230 | 2015-06-16 |
| 1477790699 | Richard P Johnsen | Dentist | Highway 31, Walnut Pond Professional Building, Clinton, NJ 08809 | 2009-01-09 |
| 1881722288 | David William Schrody | Dentist | 2635 Lincoln Way, Suite E, Clinton, IA 52732-7203 | 2007-02-28 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.